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Securian Financial

Forms and documents

Select the name of the form or document you would like to view or print. It will open in a new browser window. You may then print the piece by clicking the print button in the icon bar, above the form.

Forms

Fax Cover Sheet (pdf)
Include this cover sheet when sending forms to Minnesota Life via fax
Enrollment Form (pdf)
Complete this form to enroll for voluntary term coverage
Evidence of Insurability Form (pdf)
Complete this form to provide evidence of insurability if required by your coverage election
Beneficiary Designation and Change Request (pdf)
Use this form to designate beneficiaries for your voluntary term life coverage
Voluntary Term Life Service Request (pdf)
Use this form to notify Minnesota Life of your intent to cancel coverage, change coverage amounts, change ownership of your coverage or update your dependent information.

Documents

Basic Term Life and AD&D Certificate of Insurance (pdf)
Details about your basic term life and AD&D insurance plan
Voluntary Term Life Certificate of Insurance (pdf)
Details about your voluntary term group life insurance plan
Voluntary AD&D Certificate of Insurance (pdf)
Details about your voluntary AD&D insurance plan